【摘要】 目的分析台州市某三级综合医院住院病例疾病谱的构成及变化,为卫生资源的合理配置、疾病防治策略的科学制定提供依据。方法收集某院2011年1月1日-2019年12月31日住院患者信息,包括性别、年龄、入院日期、出院日期、ICD-10编码等,采用描述性研究方法分析某院住院患者疾病谱构成及变化趋势。结果某院9年内共收治住院患者464 400例,且呈逐年上升趋势,其中男性216 697例,女性247 703例,男女性别比为1:1.14;年龄集中在60岁及以上年龄组,占比35.88%;疾病谱前10位占住院患者的83.05%;呼吸系统疾病最为常见,构成比为16.08%,多见于儿童和老年人,其次为妊娠分娩和产褥期(12.26%)、循环系统疾病(10.28%);女性最常见的疾病为妊娠分娩和产褥期,共30632例,占女性住院患者的22.98%。结论住院人次逐年升高,呼吸系统疾病、妊娠分娩和产褥期、循环系统疾病等仍是重点关注的疾病,应结合疾病谱变化及其人群年龄、性别等分布特点进行疾病防治,合理利用卫生资源。更多还原

【Abstract】 Objectives To analyze the composition and changes of disease spectrum of inpatients in a tertiary general hospital of Taizhou city, so as to provide basis for rational allocation of health resources and formulation of scientific disease prevention and control strategies. Methods To collect the information of the front page of medical records in our hospital from January 1 st, 2011 to December 31 st, 2019, including gender, age, date of admission, date of discharge, ICD-10 code and other information. Descriptive research method was used to analyze the composition and trend of disease spectrum of inpatients in our hospital. Results There were 464400 inpatients in our hospital in 9 years, and the trend was increasing year by year, including 216 697 males and 247 females 703 cases, the ratio of male to female was 1:1.14; The age was concentrated in the age group of 60 years and above, accounting for 35.88%; The top 10 disease spectrum accounted for 83.05% of hospitalized patients; respiratory system diseases were the most common, accounting for 16.08%, most common in children and the elderly, followed by pregnancy and childbirth and puerperium(12.26%), circulatory system diseases(10.28%); The most common diseases in women were pregnancy and childbirth. There were 30 632 cases in puerperium, accounting for 22.98% of female inpatients. Conclusions The number of inpatients was increasing year by year. Respiratory system diseases, pregnancy, delivery and puerperium, circulatory system diseases were still the focus of attention. We should combine the changes of disease spectrum and the distribution characteristics of population age and gender to carry out disease prevention and control, and make rational use of health resources.更多还原